Different drugs for the treatment of prostatitis usually have a similar composition, but differ significantly in price. Medicines should not be selected without a doctor's recommendation, as self-medication can lead not only to lack of effect, but also to side effects.
The most effective drugs are those that are selected taking into account the test results and the characteristics of the disease course in man.
Dosage forms for the treatment of prostatitis are tablets, suppositories and solutions for intramuscular administration.
Criteria for choosing an effective drug
By the type of inflammatory process, infectious and non-infectious prostatitis are differentiated. To select a drug, it is necessary to undergo a comprehensive examination for an accurate diagnosis, which includes ultrasound and prostate TRUS, analysis of prostate secretion and palpation of rectal organs.
The main line of treatment for infectious prostatitis is antibiotic therapy. Non-infectious prostatitis is treated with anti-inflammatories; antibiotics are not used in this case.
Adjuvants depend on the form of inflammation and the severity of the symptoms. In acute urinary disorders, alpha blockers are prescribed in short courses, with severe pain syndrome - antispasmodics or NSAIDs. In addition, there are several medications to restore the function of the affected organ, which are used for a long period.
Each drug group has a number of effective drugs that are usually prescribed by urologists. At the same time, some drugs can be replaced by cheaper analogs, for example, herbal medicines in the form of rectal suppositories.
The following types of drugs for prostatitis are differentiated by the form of release:
- injections;
- tablets;
- suppositories.
Instillations and microclysters are also used. The first are made in a hospital environment, the second are traditional methods of treatment. Due to the effectiveness and speed of action, doctors prefer to prescribe injections, but this method is not always suitable for treatment at home: not everyone can inject themselves. To relieve inflammation, men prefer rectal suppositories - they are easy to use on their own and are slightly less effective in injections.
Medicines in tablets are divided into:
- antibiotics;
- antispasmodics;
- alpha blockers;
- non-steroidal anti-inflammatory drugs.
Only a doctor should select and combine drugs.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial or infectious inflammation and strictly after analysis of prostate secretion. Analysis is necessary to determine the type of pathogen and the sensitivity of pathogenic microorganisms to the action of antibacterial drugs.
In the treatment of infectious prostatitis, drugs from the following groups are used:
- cephalosporins;
- macrolides; penicillins; fluoroquinolones;
- tetracyclines.
The preparations of the macrolide group can cause a series of side effects, the course of treatment lasts from 7 to 14 days.
Penicillins and tetracyclines are rarely prescribed. This is due to the low bioavailability of the drugs and the high risk of developing resistance of the pathogen to its action.
The new drugs widely used in the treatment of infectious prostatitis are those in the fluoroquinolone group. They are distinguished by their high bioavailability and are effective even in cases of development of resistance of pathogenic microorganisms to the action of other antibacterial compounds. Fluoroquinolones cannot be called fast-acting drugs, as the course of treatment lasts an average of 28 days. These drugs rarely cause side effects.
They are available as tablets and as a solution for injection.
Antibacterial drugs are not used for non-infectious prostatitis.
The exact dosage and treatment regime are selected by the doctor based on the analyzes. These drugs are not used for prostatitis caused by fungal microflora; instead, antimycotics are used.
Antispasmodics
These medications alleviate muscle spasm in the prostate, making patients feel better. They are used in acute and chronic diseases.
Medicines for chronic prostatitis
The basis of treatment for chronic prostatitis is composed of bioactive drugs that normalize the prostate trophism and relieve inflammation. Its composition is based on biologically active peptides obtained by extraction of bovine prostate glands.
Indications for use:
- chronic prostatitis;
- prostate adenoma;
- infertility.
The course of treatment takes up to 15 days. Suppositories are used twice a day, in the morning and in the evening injections are given once a day.
The medications work as follows:
- normalization of urodynamics;
- relief of inflammation;
- reduction of edema;
- elimination of pain syndrome;
- increased power.
The drugs normalize the prostate trophism by stimulating the metabolic processes in the organ. In chronic prostatitis, drugs in this group are prescribed twice a year for treatment and prevention. In acute inflammation, the doctor may prescribe medication after a course of antibiotic therapy to restore normal prostate function.
Nonsteroidal anti-inflammatory drugs
NSAIDs are prescribed to relieve inflammation and reduce pain in prostatitis. They are used as symptomatic therapy for both infectious and non-infectious inflammation.
Bacterial prostatitis often causes an increase in body temperature. At values above 38, 5 degrees, it can be knocked down with drugs of the sulfonamide class.
Alpha blockers
The second line of treatment for prostatitis and adenoma is a group of alpha blockers. Its action is based on the blocking of adrenergic receptors located in the bladder neck. The drugs in this group reduce bladder tone and relax the smooth muscles of the prostate. This reduces swelling of the organ and makes it easier to urinate. The indications for the use of these drugs are serious disorders with the risk of developing acute urine stagnation.
Preparations from the alpha blocker group have a long list of contraindications and side effects. First, the danger lies in the negative impact on the cardiovascular system.
Possible side effects:
- migraine;
- drowsiness;
- loss of strength;
- fainting;
- hypotension.
There are known cases of the development of retrograde ejaculation while using these drugs.
Alpha blockers are available in capsules or tablets. Typically, doctors prescribe 1 tablet of the drug daily for one to two weeks. Due to the large number of contraindications and side effects, drugs in the alpha-blocking group must be selected by the doctor.
Alpha blockers are part of a comprehensive treatment for prostatitis, but not first-line drugs.
Herbal remedies and homeopathy
Homeopathic and herbal remedies are widely used in the treatment of chronic prostatitis. These drugs are prescribed for a long time, as their effect appears after several weeks.
Medicines are also prescribed for the prevention of chronic prostatitis.
The drugs in this group have no contraindications, except for individual intolerance. They should be taken for a long time, as herbal preparations act slowly. The outcome of the treatment can be assessed at least two weeks after starting the medication.
Suppositories
The cheapest medicines for the treatment of chronic diseases are rectal suppositories with natural extracts. In therapy, candles with propolis and bee products, pumpkin oil or ichthyol are used. The list of preparations based on bee products has many names.
These suppositories relieve inflammation, have a bactericidal effect and increase immunity. Propolis suppositories can also be prepared at home.
Naturally formulated rectal suppositories are used twice a day. The course of treatment lasts at least 10 days. The exact treatment regimen is selected by the doctor after a comprehensive examination of the patient.
It is impossible to determine the best drug of all varieties, as the drug must be selected individually in each case.